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This is VAERS ID 270241

History of Changes from the VAERS Wayback Machine

First Appeared on 12/31/2007

270241
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / - UN / -

Administered by: Other      Purchased by: Unknown
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type':

Write-up:Information has been received from a health professional concerning a patient who may have been vaccinated with a dose of with HPV vaccine (yeast) (lot#653650/0697F) in which while preparing the syringe for administration, the safety syringe activated pre"maturely. It was reported that she may have touched the side of the syringe near the fingers and the activated the safety device. It was also reported that the second syringe scared the patient when it pooped down. No further information is available.


Changed on 12/8/2009

270241 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / - UN / -

Administered by: Other      Purchased by: Unknown Other
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': (blank) WAES0609USA04678

Write-up:Information has been received from a health professional concerning a patient who may have been vaccinated with a dose of with HPV vaccine (yeast) (lot#653650/0697F) in which while preparing the syringe for administration, the safety syringe activated pre"maturely. prematurely. It was reported that she may have touched the side of the syringe near the fingers and the activated the safety device. It was also reported that the second syringe scared the patient when it pooped down. No further information is available.


Changed on 6/14/2014

270241 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0609USA04678

Write-up:Information has been received from a health professional concerning a patient who may have been vaccinated with a dose of with HPV vaccine (yeast) (lot#653650/0697F) in which while preparing the syringe for administration, the safety syringe activated prematurely. It was reported that she may have touched the side of the syringe near the fingers and the activated the safety device. It was also reported that the second syringe scared the patient when it pooped down. No further information is available.


Changed on 5/14/2017

270241 Before After
VAERS Form:
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / - UN / -

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0609USA04678

Write-up:Information has been received from a health professional concerning a patient who may have been vaccinated with a dose of with HPV vaccine (yeast) (lot#653650/0697F) in which while preparing the syringe for administration, the safety syringe activated prematurely. It was reported that she may have touched the side of the syringe near the fingers and the activated the safety device. It was also reported that the second syringe scared the patient when it pooped down. No further information is available.


Changed on 9/14/2017

270241 Before After
VAERS Form:(blank) 1
Age:
Gender:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:2007-01-05
Entered:2007-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
HPV4: HPV (GARDASIL) / MERCK & CO. INC. 0697F / - UNK UN / -

Administered by: Other      Purchased by: Other
Symptoms: Unevaluable event

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit? (V2.0) No
Hospitalized? No
Previous Vaccinations:
Other Medications: UNK
Current Illness:
Preexisting Conditions: UNK
Allergies:
Diagnostic Lab Data: UNK
CDC 'Split Type': WAES0609USA04678

Write-up:Information has been received from a health professional concerning a patient who may have been vaccinated with a dose of with HPV vaccine (yeast) (lot#653650/0697F) in which while preparing the syringe for administration, the safety syringe activated prematurely. It was reported that she may have touched the side of the syringe near the fingers and the activated the safety device. It was also reported that the second syringe scared the patient when it pooped down. No further information is available.


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